Guillain-Barré syndrome: causes, immunopathogenic mechanisms and treatment

Introduction: Guillain-Barré syndrome is a rare disease representing the most frequent cause of acute flaccid symmetrical weakness of the limbs and areflexia usually reaching its peak within a month. The etiology and pathogenesis remain largely enigmatic and the syndrome results in death or severe d...

Full description

Autores:
Tipo de recurso:
Fecha de publicación:
2016
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/24042
Acceso en línea:
https://doi.org/10.1080/1744666X.2016.1193006
https://repository.urosario.edu.co/handle/10336/24042
Palabra clave:
Epitope
Ganglioside antibody
Autoantibody
Ganglioside
Aging
Antibody blood level
Campylobacteriosis
Clinical feature
Differential diagnosis
Environmental factor
Guillain barre syndrome
Human
Immunohistochemistry
Immunopathogenesis
Macrophage activation
Nonhuman
Review
T lymphocyte
Campylobacter jejuni
Campylobacteriosis
Cross reaction
Genotype environment interaction
Guillain barre syndrome
Immunology
Immunotherapy
Metabolism
Procedures
Aging
Autoantibodies
Campylobacter infections
Campylobacter jejuni
Cross reactions
Gangliosides
Gene-environment interaction
Guillain-barre syndrome
Humans
Immunotherapy
Autoimmune neuropathy
Guillain-barré
Immune tolerance
Infection and immunity
Molecular mimicry
Rights
License
Abierto (Texto Completo)
Description
Summary:Introduction: Guillain-Barré syndrome is a rare disease representing the most frequent cause of acute flaccid symmetrical weakness of the limbs and areflexia usually reaching its peak within a month. The etiology and pathogenesis remain largely enigmatic and the syndrome results in death or severe disability in 9–17% of cases despite immunotherapy. Areas covered: In terms of etiology, Guillain-Barré syndrome is linked to Campylobacter infection but less than 0.1% of infections result in the syndrome. In terms of pathogenesis, activated macrophages and T cells and serum antibodies against gangliosides are observed but their significance is unclear. Expert commentary: Guillain-Barré syndrome is a heterogeneous condition with numerous subtypes and recent data point towards the role of ganglioside epitopes by immunohistochemical methods. Ultimately, the syndrome results from a permissive genetic background on which environmental factors, including infections, vaccination and the influence of aging, lead to disease. © 2016 Informa UK Limited, trading as Taylor and Francis Group.